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General NPI Number Information
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NPI Number | 1497769657
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Entity Type | Individual
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Provider Name | KELLY HIGGINS ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/23/2017
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Provider Practice Location Address
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Address Line | 89 W COPELAND DR
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City | ORLANDO
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State | FL
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Zip | 32806-2028
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Country | US
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Telephone | 407-841-5281
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Fax | 407-648-9879
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Provider Business Mailing Address
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Address Line | 1941 MOHICAN TRAIL
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City | MAITLAND
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State | FL
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Zip | 32751
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Country | US
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Telephone | 407-325-6712
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Fax | 855-708-2323
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1930852
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License Number State | FL
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